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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Losing Weight Rapidly. Suffering From Diabetes And Hypertension But Under Control With Medications. How To Check Weight Loss?

My name is CB Sinha. My age is 63.5 years. I am suffering from diabetes and hypertension . I was taking vogli M ( 2mg ) thrice daily for the last 3 months. For hypertension, I am taking telma H (40 mg) in the morning and amlodipin -5 mg at night. I also take one atorvastatin 10mg at night after dinner. My blood pressure and lipid profile are well under control. my sugar level also has been under control with HbA1C hovering around 6.5. However, the problem is that I have been losing weight for the last one year or so, but more rapidly during the last three months. My doctor at Ranchi has changed my medicine for diabetes to Janumet 50/500 nd I have been asked to go to the doctor for review around 10-15 April. Kindly advise how to check my weight loss. Necessary investigations have revealed nothing. Many thanks, regards and best wishes. ....... ..... CB Sinha, Ranchi, 31st March, 2012.
Wed, 13 Nov 2013
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General & Family Physician,  's  Response
dear cbsinha, welcome to hcm.
the Hba1c levels mentioned here indicates that the Gycemic (sugar) is under good control.
i Kindly suggest you to make a thourough analysis of ur protein intake in ur food items by a certified nutritionist and regularly monitor ur RBS(sugar levels) on a daily basis and inform the same to them regularly for improvement of ur weight.
check on ur fruits & vegetables intake and do simple exercises regularly, preferably 30-40 mins brisk walk with full stretchin hands.
thank you.:-)
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  User's Response
Dr. Saurabh Soni's  Response
Dear C B Sinha,
Welcome Health Care Magic,
Other than above mentioned information
Request to share your current weight & weight 12 months before / Height
Hope Thyroid Hormones are in normal range , if not get tested please get done
What about appetite, your whole day intake of food with quantity ( can share like -number & katori like 4 chapti + 3 katori of veg & 2 katori of dal )
Any Digestive problem/discomfort

You can discuss to your doctor about taking Ensure powder ,
You must have 3 major meal + 2minor meal , the proportion of
Break fast- 20 %
mid morning - 15%
Lunch- 30 %
evening- 15 %
dinner- 20%

But need you need to adjust your diet plan as per as medication & their timings recommended by your doctor.
You can share further, prescription of your doctor after review
Rx
can safely have Satavari powder - 1sf with 1/2 cup of milk twice a day , help you maintaining weight Not having any pharmacological impact , it is as tonic specifically in your condition.

Rgds

Dr. Saurabh Soni
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Losing Weight Rapidly. Suffering From Diabetes And Hypertension But Under Control With Medications. How To Check Weight Loss?

dear cbsinha, welcome to hcm. the Hba1c levels mentioned here indicates that the Gycemic (sugar) is under good control. i Kindly suggest you to make a thourough analysis of ur protein intake in ur food items by a certified nutritionist and regularly monitor ur RBS(sugar levels) on a daily basis and inform the same to them regularly for improvement of ur weight. check on ur fruits & vegetables intake and do simple exercises regularly, preferably 30-40 mins brisk walk with full stretchin hands. thank you.:-)